Elitone for Men

As low as $11/month with Medicare co-pay. As low as $39/month or $449 with patient-pay (OTC) options.

FDA-cleared Elitone for Men is covered by Medicare Part B, providing even more access to men recovering from prostate surgery. How do you want to get your Elitone?

Online Prescriptions (Telehealth)

Step 1: Check Eligibility

Elitone for Men is FDA-cleared for men in the early stages or recovery following prostate surgery. It is proven to be safe and effective, but there are several medical conditions that prevent it’s use. See below.

Do not use Elitone for Men if you:

  • Have an electronic implant (e.g., cardiac pacemaker, implanted defibrillator) or suffer from heart problems.
  • Have active cancer, epilepsy, or cognitive dysfunction.
  • Have had pelvic floor surgery within the last three weeks.
  • Have complete denervation of the pelvic floor.
  • Have a history or symptoms of urinary retention, extra-urethral incontinence, or overflow incontinence.
  • Have persistent incontinence more than 12 months post-prostatectomy.

Consult your healthcare provider before using the device if:

  • You have any serious illness or injury not mentioned in this guide.
  • You have an underlying neurological condition (e.g., Multiple Sclerosis or Parkinson’s disease).
  • You have a tendency to hemorrhage, following acute trauma or fracture.
  • You take insulin for diabetes.
  • You suffer from muscle or joint problems, including pelvic pain.
  • You suffer with suspected or diagnosed heart disease.
  • You underwent a recent surgical procedure where muscle contraction may disrupt the healing process.
  • You have any doubt about using the device.

We are accredited to bill Medicare Part B (Original Medicare) for Elitone for Men. If you have a different insurance plan, including Medicare Advantage, we will work with your provider to determine coverage and any prior authorization requirements.

When your device is processed through insurance, any patient responsibility amount (such as coinsurance or deductible) is applied toward your plan’s annual deductible and out-of-pocket maximum. This means that even if you have some upfront cost, the amount you pay is credited within your insurance plan.

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Step 2: Complete the Telehealth Evaluation

We’ve partnered with MD Integrations, a licensed telehealth provider, to make getting a prescription (Rx) simple.

  • There is no appointment to schedule.
  • You’ll complete the required health questions online.
  • A licensed provider reviews your information and issues a prescription as appropriate.

Alternately, you can ask your doctor for a prescription. They will need to send us a completed Detailed Written Order.

You’ll complete a short online health questionnaire on our secure partner site. A licensed, board-certified physician reviews your information to determine if Elitone for Men is appropriate for you. Most patients do not need a scheduled video visit, but you may message the physician if follow-up is needed.

The telehealth consultation costs $22, which is typically less than most in-office copays. This fee covers the physician’s review of your information and is non-refundable once submitted. You’ll need a photo ID to verify your identity, along with basic medical and bladder leak history information to complete the forms — about 10 minutes.

The doctor doesn’t start the review until you’ve provided all the required information and completed payment for the visit. Check your email for messages from “Elidah (Elitone)” with instructions for how to upload any missing information. When the process is delayed, it’s often because a patient didn’t upload a picture ID.

After completing your intake form, the doctor typically gets back to you via email within 1-2 business days (but this can vary by state).

if you receive a prescription, YOUR NOT DONE! To keep the process moving, continue to Step 3!

Step 3: Upload Your Insurance Information

This step is required to move forward.

We can’t confirm eligibility or process any co-pay until we receive your insurance details. Have your insurance card(s) ready and upload them here — it only takes a minute.

We can’t proceed until we have your insurance information. So upload it now. If you have Medicare Part B, we’ll also ask you to electronically sign a few forms.

Once we have that, we’ll check your eligibility and get back to you with any out-of-pocket payment you’ll need to make. After uploading your insurance info, you should hear from us via TEXT/MOBILE or EMAIL within 2-3 business days. It’s very important that you respond quickly. Your case is put on hold until you reply.  The sooner you respond, the sooner we can get you your Elitone.

Common Delays:

  • The patient doesn’t pickup the call because it’s from an unknown caller
  • We can’t leave a voicemail because the patient’s voicemail is full
  • The email goes into a promotions or spam folder and isn’t seen
  • The patient doesn’t upload their insurance information or sign the required forms

If you’re having difficulty, contact billing@elidah.com

You will be responsible for any co-pay. For Medicare patients without secondary insurance this is typically around $150, which can be as low as $12/month in a payment plan for 13 months. If you have another type of insurance we’ll work with you to find the best payment option.

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Other Insurance Info

We are accredited to bill Medicare Part B (Original Medicare) for Elitone for Men.  PPO plans, including Medicare Advantage PPO plans may cover part of the cost.

HMO, Medicare Advantage HMO and private plans will likely NOT cover Elitone for Men, and we will be out of network. Some patients choose to contact their insurance provider directly to request a pre-authorization or coverage review based on medical necessity. You want to make sure you mention that you have a prescription from your doctor. In addition, it is important to add that Elitone for Men is billed under HCPCS code E0740, which is a covered medical equipment code used by Medicare and many insurance plans.

When your device is processed through insurance, any patient responsibility amount (such as coinsurance or deductible) is applied toward your plan’s annual deductible and out-of-pocket maximum. This means that even if you have some upfront cost, the amount you pay is credited within your insurance plan.

Note: It is very difficult to get reimbursement after a purchase, so we do not recommend that path.

If you normally show your red, white and blue Medicare card and it says “MEDICAL (PART B)“, you likely have Original Medicare.

If your card shows a Medicare Advantage (Part C), HMO plan, or other private company card instead, you do not have the Original Medicare coverage for this benefit.  If your Medicare Advantage card says PPO – you may have partial benefits for Elitone coverage. You may also have a Medicare Supplement (Medigap) card in addition to your red, white and blue Medicare card.

Thats great! Have you uploaded your insurance card and filled out the Medicare forms? Waiting for this information, or trying to reach the patient for copy, or doctor for more informaion  is often the slowest part in the process. Please check your spam folder for information.

Expect a call or email from 203-508-4249 (Serrena). You may also contact that number or email support@elitone-rx.com at any time.

Please note, it can take 3 weeks to process an original Medicare form and much longer for other plans.

You will be responsible for any co-pay. For Medicare patients without secondary insurance, this is typically around $150, as low as $12/month  for 13 months. If you have PPO insurance, we will need to verify with the insurance company for out-of-network benefits.

The process takes time and involves multiple steps, especially if the insurance is not original Medicare. Many men choose self-pay to skip the paperwork and delays, so they can begin treatment immediately and regain confidence sooner. You can also purchase the upgraded v2 with 3x more battery-life.

Payment plans bring the cost down to $34/mo with Affirm and PayPal Pay Later plans.

HSA/FSA can be used by checking out with SIKA, no hassle.

The product ships the next business day usually.

Manufacturer: Elidah, 31 Pecks Ln Ste 11, Newtown CT 06470

Elidah has obtained these insurance codes for the Elitone product lines.

Product Name HCPCS/DME Code Description
Elitone E0740 Non-implanted pelvic floor electrical stimulator, complete.
Elitone URGE E0740 Non-implanted pelvic floor electrical stimulator, complete.
Elitone for Men E0740 Non-implanted pelvic floor electrical stimulator, complete.
Elitone GelPads Pack of 5 A4595 Electrical stimulator supplies

Additional reference diagnostic codes:

  • ICD-10-CM Code – N39.3     Stress urinary incontinence (SUI)
  • ICD-10-CM Code – N39.46  Mixed urinary incontinence (MUI)
  • ICD-10-CM Code – N39.41   Urge urinary incontinence (UUI)